Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $95.50 / $102.33	Facility	TC	$34.67	$95.50	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $63.10	Professional		$22.91	$38.02	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $21.38	Professional	26	$7.08	$10.00	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $48.98	Professional	TC	$15.85	$23.99	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $61.66	Professional		$29.51	$42.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $16.98	Professional	26	$7.94	$11.75	$16.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $42.66	Professional	TC	$21.88	$30.20	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $75.86	Professional		$30.20	$42.66	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.30 / $22.39	Professional	26	$10.23	$12.30	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $29.51 / $56.23	Professional	TC	$20.42	$29.51	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $102.33	Professional		$39.81	$51.29	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.80 / $25.70	Professional	26	$10.96	$13.80	$25.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $74.13	Professional	TC	$30.20	$37.15	$74.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $95.50 / $100.00	Facility	TC	$34.67	$95.50	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $75.86	Professional		$26.92	$39.81	$75.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.75 / $22.39	Professional	26	$8.51	$11.75	$22.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $29.51 / $57.54	Professional	TC	$19.50	$29.51	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $81.28	Professional		$29.51	$42.66	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.49 / $24.55	Professional	26	$9.33	$13.49	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $54.95	Professional	TC	$20.42	$30.90	$54.95